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Palm Beach State College
Ncbaa
NCBAA Membership Application
NCBAA Membership Application
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First Name
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Middle Initial
Last Name
*
College Campus
Belle Glade
Boca Raton
Lake Worth
Loxahatchee Groves
Palm Beach Gardens
Position
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Department
*
Email Address
*
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*
Membership Type
New NCBAA Member
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Annual Dues
$50.00 by Check: Payable to NCBAA
$50.00 By Payroll Deduction: Please complete the payroll deduction authorization below.
I authorize the payroll department of Palm Beach State College to deduct the current approved rate of $2.10 for NCBAA membership dues from my salary until further notice in accordance with the college’s payroll deduction plan. Please type your full name.
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